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Pharmacologic Treatment of Fibromyalgia

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By K Baker and A Barkhuizen • www.ProHealth.com • December 20, 2006


Journal: Current Psychiatry Reports. 2006 Dec;8(6):464-9. Authors and affiliation: Baker K, Barkhuizen A. Arthritis & Rheumatic Diseases, Oregon Health & Science University, Portland, Oregon, USA. [ E-mail: bakerk@ohsu.edu ] PMID: 17162828

Fibromyalgia is a syndrome of widespread pain, non-restorative sleep, disturbed mood, and fatigue. Optimal treatment involves a multidisciplinary approach with a team of health care providers using pharmacologic and nonpharmacologic treatment. Because of the heterogeneity of the illness, management should be individualized for the patient.

Pharmacologic treatment should address issues of pain control, sleep disturbance, fatigue, and any underlying coexisting mood disorder. Nonpharmacologic treatment should include patient education, a regular exercise and stretching program, and cognitive behavioral therapy. All of these are essential to improving functional capacity and quality of life.

This review provides general guidelines in initiating a successful pharmacologic treatment program for patients with Fibromyalgia.




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